Organization Active NPI

Oxygen Optometry, Inc

  • Optometrist
  • Riverside, CA
National Provider Identifier
1902295132
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6923 Issued in CA
Legal business name
OXYGEN OPTOMETRY, INC
Practice address
2712 Canyon Springs Pkwy
Suite A4
Riverside, CA 92507-0938
Phone
(951) 656-1200
Fax
(951) 656-1201
NPI assigned
Jan 12, 2015
Last updated
Jan 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Vanessa Kashak, OD
Title
President
Phone
(951) 656-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6923 CA Primary

Addresses

Primary practice location

2712 Canyon Springs Pkwy
Suite A4
Riverside, CA 92507-0938

Mailing address

2712 Canyon Springs Pkwy
Suite A4
Riverside, CA 92507-0938
Phone (951) 656-1200

National Provider Directory

National Provider Directory

Locations

2712 Canyon Springs Pkwy
Ste A4
Riverside, CA 92507
Phone (951) 656-1200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1902295132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 CANYON SPRINGS PKWY",
            "address_2": "SUITE A4",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070938",
            "telephone_number": "951-656-1200",
            "fax_number": "951-656-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 CANYON SPRINGS PKWY",
            "address_2": "SUITE A4",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070938",
            "telephone_number": "951-656-1200",
            "fax_number": "951-656-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXYGEN OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "KASHAK",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-656-1200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.